Note : Les descriptions sont présentées dans la langue officielle dans laquelle elles ont été soumises.
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INTERNATIONAL PATENT APPLICATION FOR:
A PNEUMATIC TOURNIQUET APPARATUS AND METHOD OF USE
INVENTOR(S):
CHRIS B. KOSIOREK (LA VERNIA, TEXAS, UNITED STATES)
DEXTER C. DRAYTON (SAN ANTONIO, TEXAS, UNITED STATES)
ESRA ABIR (NEW YORK, NEW YORK, UNITED STATES)
NESLIHAN DAMAR (KUCUKYALI, ISTANBUL, TURKEY)
NILUFER POLAT (BROOKLYN, NEW YORK, UNITED STATES)
YAVUZ AVCI (SUNNYSIDE, NEW YORK, UNITED STATES)
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A PNEUMATIC TOURNIQUET APPARATUS AND METHOD OF USE
Cross-Reference to Related Applications
This international application claims priority to co-pending U.S. provisional
patent
application serial no. 61/883,797, filed September 27, 2013, the entire
disclosure of which is
incorporated herein by reference.
Government Rights
This invention was made with government support under W81XWH-12-P-0497 awarded
by USA MED RESEARCH ACQ ACTIVITY. The government has certain rights in the
invention.
Field
Embodiments of the present invention are directed to a pneumatic tourniquet
and novel
blood flow restriction device. In more detail, embodiments of the present
invention are directed
to an emergency use, pre-fabricated tourniquet used for restricting flow of
blood during extreme
hemorrhage or exsanguination.
Background
Exsanguination or major blood loss has been shown to be the major leading
cause of
death on the battlefield and directly correlates to major trauma in the
civilian sector. Throughout
history, tourniquets have been shown to save lives. Several large studies have
confirmed the
lifesaving benefit and low incidence of complications from pre-hospital use of
tourniquets in
combat casualties. Furthermore, the civilian Emergency Medical Services have
adopted this
opinion as well. Tourniquets are frequently used early in the care of trauma
casualties because
of the immediate lifesaving intervention capability and the speed with which
they can be applied.
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Moreover, tourniquets are the standard of care for the temporary control of
life-threatening
extremity hemorrhage during the Care Under Fire (CUF) phase of the Tactical
Combat Casualty
Care (TCCC) in accordance with the Committee for Tactical Combat Casualty Care
(CoTCCC)
guidelines. These guidelines are becoming the standard of care for treatment
of massive
hemorrhage across the spectrum of pre-hospital care worldwide.
Due to the nature of traumatic amputation and dismemberment, there is a
requirement for
application of an emergency tourniquet to be operated by one hand. For a
device to be truly
operable by only one hand, it must be capable of being placed on an extremity,
upper or lower,
without having to perform fine motor skill functions. In general, tourniquet
operation should not
require the use of fine motor skills, regardless of the one-handed operability
requirement,
because tourniquets are generally only used during periods of extreme duress
(i.e., when it is
difficult or impossible to expect the use of fine motor skills).
Traditionally, tourniquets were nothing more than a general section of cloth
material,
usually a cravat, and a stick or dowel used as a windless. The general concept
was to tighten the
cloth material, reducing the circumference (diameter) of the cloth material
against the extremity
soft tissue, creating circumferential pressure sufficient enough to occlude
blood flow. These
make-shift tourniquets were often applied with too much pressure and caused
neurovascular
damage in limbs. Although the patient's life and limb were saved, the affected
limb was
permanently damaged. Therefore, a pre-fabricated tourniquet designed for
consistent, even
circumferential pressure is ideal for emergency use.
Additionally, current tourniquet designs are prone to failure and are
generally ineffective
for use on lower extremities. Pneumatic tourniquet designs can be more
desirable than a
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windless, mechanical design because pneumatic tourniquets can be more
effective at restricting
blood flow and can be more comfortable during use. However, because of design
and cost
constraints, current pneumatic tourniquets are generally only used in Hospital
environments and
are not effective or mechanically operable for field use.
Furthermore, there are many situations in which a tourniquet can save a life
other than in
military applications. Some recreational activities can be inherently
dangerous and can cause
severe injury requiring the use of such an emergency device, especially in a
remote setting.
Primary examples of this are camping, rock climbing, hiking, boating, etc.
Footprint size and
weight are always a consideration in such settings since the individual user
is required to carry
the device in a backpack. Therefore, a ruggedized pre-fabricated tourniquet
made of the strong
and light material would be best-suited for the end-user. Such a tourniquet
would provide for
efficient transportation and effective, life-saving utilization.
Thus, there is a need for a pre-fabricated tourniquet that is easy to apply,
that ensures
consistent and even circumferential pressure, that is light weight, that
provides standard life
saving operation, and that can be utilized in any setting or situation.
Summary
One object of the general inventive concept is to provide a pneumatically
constricting
tourniquet apparatus. The pneumatic tourniquet apparatus is made up of a
bladder, a reservoir
chassis, a retaining cover, a receiver and a slider. The bladder is elongated
in shaped ¨ long
enough to wrap around most human limbs. In some embodiments, the bladder is
formed from a
single sheet of plastic, folded over along one edge and sealed along the other
three edges so that
the bladder holds and maintains air pressure while being inflated.
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The reservoir chassis holds and protects the bladder. The reservoir chassis
includes a
main section that envelops the bladder and a reservoir chassis extension
section that extends
from the main section but does not envelop the bladder. A retaining cover
attached to the
reservoir chassis where the main section and the chassis extension section
connect. The retaining
cover covers and protects the reservoir chassis.
A receiver is connected to either the reservoir chassis or the retaining
cover, at a location
very near to where the retaining cover is attached to the reservoir chassis. A
slider is connected
to the retaining cover such that the slider can be slid to any point along the
retaining cover. The
receiver and slider are sized and shaped such that the slider is temporarily
locked in position on
the retaining cover as a friction buckle when engaged with the receiver.
Another object of the general inventive concept is to provide a pneumatically
constricting
tourniquet apparatus. The pneumatic tourniquet apparatus is made up of a
bladder placed into a
reservoir chassis, a retaining cover attached to the reservoir chassis, a
receiver attached to the
retaining cover or the reservoir chassis, and a slider attached to the
retaining cover. The reservoir
chassis includes a main section that holds the bladder and an extension
section connected to the
main section. The retaining cover is attached to the reservoir chassis at a
position adjacent to
where the main section of the reservoir chassis connects to the extension
section. The receiver is
attached to either the retaining cover or the reservoir chassis adjacent to
the position where the
retaining cover is attached to the reservoir chassis. The slider is attached
to the retaining cover
such that the slider can slide to numerous positions along the retaining
cover. The slider is sized
and shaped to engage with the receiver.
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Another object of the general inventive concept is to provide a method of
making a
pneumatically constricting tourniquet apparatus. The method includes sealing a
bladder, inserting
the bladder into a reservoir chassis, attaching a retaining cover to the
reservoir chassis,
connecting a receiver to either the reservoir chassis or the retaining cover,
and connecting a
slider to the retaining cover. In some embodiments, the bladder is formed from
a single sheet of
plastic, folded over along one edge and sealed along the other three edges so
that the bladder
holds and maintains air pressure while being inflated. The bladder is inserted
into the reservoir
chassis to hold and to protect the bladder. The reservoir chassis includes a
main section that
envelops the bladder and a reservoir chassis extension section that extends
from the main section
but does not envelop the bladder. The retaining cover is attached to the
reservoir chassis where
the main section and the chassis extension section connect. The retaining
cover covers and
protects the reservoir chassis.
A receiver is connected to either the reservoir chassis or the retaining cover
at a location
near where the retaining cover is attached to the reservoir chassis. The
slider is connected to the
retaining cover such that the slider can be slid to any point along the
retaining cover. The
receiver and slider are sized and shaped such that the slider is temporarily
locked in position on
the retaining cover as a friction buckle when engaged with the receiver.
Another object of the general inventive concept is to provide a method of
making a
pneumatically constricting tourniquet apparatus. The method includes placing a
bladder into a
reservoir chassis, attaching a retaining cover to the reservoir chassis,
attaching a receiver to the
retaining cover or the reservoir chassis, and attaching a slider to the
retaining cover. The
reservoir chassis includes a main section that holds the bladder and an
extension section
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connected to the main section. The retaining cover is attached to the
reservoir chassis at a
position adjacent to where the main section of the reservoir chassis connects
to the extension
section. The receiver is attached to either the retaining cover or the
reservoir chassis adjacent to
the position where the retaining cover is attached to the reservoir chassis.
The slider is attached
to the retaining cover such that it can be slid along the retaining cover. The
slider is sized and
shaped to engage with the receiver.
The foregoing and other objects are intended to be illustrative of the
invention and are not
meant in a limiting sense. Many possible embodiments of the invention may be
made and will be
readily evident upon a study of the following specification and accompanying
drawings
comprising a part thereof For example, dimensional values included herein are
provided for
exemplary purposes, and embodiments of the present invention contemplate
tourniquets or
tourniquet components having a various dimensional values. Furthermore,
various features and
subcombinations of invention may be employed without reference to other
features and
subcombinations. Other objects and advantages of this invention will become
apparent from the
following description taken in connection with the accompanying drawings,
wherein is set forth
by way of illustration and example, an embodiment of this invention.
Drawings
Embodiments of the invention are set forth herein and are shown in the
following
drawings:
FIG. 1 shows an exemplary pneumatic tourniquet according to embodiments of the
present invention.
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FIG. 2 shows an exemplary bladder that can be positioned within a reservoir
chassis of
the tourniquet from FIG. 1.
FIG. 3 shows an exemplary receiver of the tourniquet from FIG. 1.
FIG. 4 shows an exemplary slider of the tourniquet from FIG. 1.
FIG. 5 shows an additional view of a pneumatic tourniquet according to
embodiments of
the present invention.
FIG. 6 shows an additional view of a pneumatic tourniquet according to
embodiments of
the present invention.
FIG. 7 shows an additional view of a pneumatic tourniquet according to
embodiments of
the present invention.
FIG. 8 shows another exemplary bladder that can be positioned within a
reservoir chassis
of the tourniquet from FIG. 1.
Detailed Description
The following detailed description of the invention references the
accompanying
drawings that illustrate specific embodiments in which the invention can be
practiced. The
embodiments are intended to describe aspects of the invention in sufficient
detail to enable those
skilled in the art to practice the invention. Other embodiments can be
utilized and changes can be
made without departing from the scope of the present invention. The following
detailed
description is, therefore, not to be taken in a limiting sense.
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In this description, references to "one embodiment," "an embodiment," or
"embodiments" mean that the feature or features being referred to are included
in at least one
embodiment of the technology. Separate references to "one embodiment," "an
embodiment," or
"embodiments" in this description do not necessarily refer to the same
embodiment and are also
not mutually exclusive unless so stated and/or except as will be readily
apparent to those skilled
in the art from the description. For example, a feature, structure, act, etc.
described in one
embodiment may also be included in other embodiments, but is not necessarily
included. Thus,
the present technology can include a variety of combinations and/or
integrations of the
embodiments described herein.
With reference to the figures, and in particular FIG. 1, embodiments of the
present
invention are directed to a pneumatic tourniquet for restricting a blood flow
in a body part, such
as an upper or a lower extremity, with the tourniquet comprising: (a) a
bladder 200 (See FIGS. 2
and 8) sealed from 3 edges to hold and maintain air pressure while being
inflated with an
inflation pump 108; (b) a reservoir chassis 102 to hold and to protect the
bladder 200, with the
reservoir chassis 102 including a main section that holds the bladder 200 and
a reservoir chassis
extension section 101 that extends from the main section but does not hold the
bladder 200; (c) a
retaining cover 103 that is attached to the reservoir chassis 102 where the
main section and the
chassis extension section connect, with the retaining cover 103 operable to
cover and protect the
reservoir chassis 102 (d) a receiver 106 (See also FIG. 3) connected to either
the reservoir
chassis 102 or the retaining cover 103 proximate to where the retaining cover
103 is attached to
the reservoir chassis 102, with the receiver 106 being operable to accept a
slider 107 (See also
FIG. 4) that is positioned on the retaining cover 103 from any position along
the retaining cover
103, and furthermore with the receiver 106 being operable to allow a user to
"snap" the slider
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107 into place and lift the lip 303 of the receiver 106 to remove the slider
107 upon demand; (e)
the slider 107 serves as a friction buckle operable to be placed along any
section of the retaining
cover 103, with the slider 107 including one round side bar 401 and one square
side bar 402 with
grippers 405 allowing for free rotation when attached to the receiver 106. In
operation, the
pneumatic tourniquet (See also FIGS. 5-7) is operable, via the above described
components (a-e),
to form a continuous loop around an extremity, such as an arm or a leg, so as
to create a
circumferential pressure that will restrict blood flow. Such a circumferential
pressure is created
by and 1) joining the slider 107 and the receiver 106 together and
manipulating the retaining
cover 103 so as to reduce the circumference of the tourniquet, and 2) pumping
air into the
bladder 200.
With respect to FIG. 1 (see also FIGS. 5-7), the reservoir chassis 102 retains
and protects
the air bladder 200. In some embodiments, the total length is 33 inches and
the width is between
2 and 4 inches. In some embodiments, the reservoir chassis 102 includes a
section of dual hook
and loop fasteners on both sides of the reservoir chassis faces. In other
words, the dual hook and
loop fasteners are on the side facing "in" and the side facing "out." The
tourniquet also includes
a retaining cover 103 sized and shaped to overlap the reservoir chassis 102 as
a secondary
securing mechanism to prevent slippage or pressure reduction. The retaining
cover 103 also
provides extra protection for the reservoir chassis 102 and bladder 200. The
outer surface of the
retaining cover 103 includes dual hook and loop fasteners. The reservoir
chassis extension 101
does not contain the bladder 200. The reservoir chassis extension 101 is sized
and shaped to
accommodate larger arm or leg circumferences. In some embodiments, the
reservoir chassis 102
and/or the retaining cover 103 further include a blank label 109. The blank
label 109 may be
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used to write the time when the tourniquet is applied or various other
relevant notes regarding
patient care.
Extending from the bladder 200 (see also FIGS. 2 and 8) is a nipple 104 that
connects the
bladder to an air pump. In some embodiments, a half bulb inflation pump 108 is
used to pump air
into the bladder 200 via the nipple 104. In some embodiments, the half bulb
inflation pump 108
is latex free and ergonomically designed for ease of use. In some embodiments,
the inflation
mechanism includes a relief valve 105 to manually control the release of
pressure inside the
bladder 200. In some embodiments, the inflation includes a metal clamp 201,
such as a small
brass ring, attached to the connection between the nipple 104 and the relief
valve 105 or inflation
pump 108.
In more detail, the retaining cover 103 (See FIGS. 1 and 5-7) includes dual
hook and loop
(i.e., Velcro) on its exterior surface and a nylon denier on its interior
surface (i.e., the surface that
faces the bladder 200). Thus, the retaining cover 103 is operable to cover and
protect the
reservoir chassis 102 and also operable to secure the tourniquet around an
extremity. For
example, the retaining cover 103 can be positioned in a continuous loop around
an extremity by
wrapping the retaining cover 103 around the extremity. Next, the slider 107,
which is adjustably
secured to the retaining cover 103, can be secured to the receiver 106, which
is fixably connected
to either the reservoir chassis 102 or the retaining cover 103, as previously
described. In such an
arrangement, the diameter of the continuous loop can be shortened by pulling
the retaining strap
further through slider 107, thus creating an increased circumferential
pressure (i.e., a radial
compression). Once a preferred diameter has been obtained, such a diameter can
be maintained
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by folding the retaining cover 103 back upon itself and securing such a
position via the hook and
loop of the retaining cover 103.
In some embodiments, the bladder 200 (See FIGS. 2 and 8) of the pneumatic
tourniquet
is formed from a polyurethane plastic material by sealing 3 edges of the
plastic material.
Furthermore a nipple 104 is attached to the polyurethane plastic and extends
therefrom at an
approximately 90 degree angle. From the nipple 104, a silicon tube 202 extends
a distance and
connects with the pump 108, which may, in some embodiments include a
semicircle pressure
inflation bulb (e.g., an ergonomically designed hemicycle pressure pump).
Embodiments in
which the pump 108 is a semicircular face may be preferable in instances when
the tourniquet is
required to be packaged in a small space. In certain embodiments, the bladder
200 is preferred to
hold at least 450 mmHg of pressure, so as to be sufficient to stop blood flow
and hemorrhage in
an extremity. In other embodiments, the bladder 200 will hold more or less
than 450 mmHg. In
some embodiments, the bladder 200 will be approximately 25 inches in length,
so as to be
sufficient for use with human extremities (i.e., arms and legs) that have
sizes within the 5th to
95th percentile. Regardless, embodiments of the present invention contemplate
bladder lengths
that are more or less than 25 inches. Furthermore, in some embodiments, the
width of the bladder
will be approximately 1.5 inches, which proves for a broad pressure base that
can be applied to
an extremity. However, it is understood that widths more or less than 1.5
inches may be used in
some embodiments. The bladder 200 will, in some embodiments, also include a
relief valve 105
that provides for a manual or automatic release of air pressure within the
bladder 200.
Embodiments of the present invention provide for the reservoir chassis 102
(See FIGS. 1
and 5-7) to protect the bladder 200 (See also FIGS. 2 and 8) from
environmental damages that
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may occur during transportation or use of the tourniquet. In some embodiments,
the reservoir
chassis 102 will be formed in a coyote brown color to uniquely identify a
first application of the
tourniquet over the circumference of the damaged extremity. In some
embodiments, a length of
the reservoir chassis 102 is approximately 33 inches. However, in other
embodiments, the
chassis 102 may be more or less than 33 inches. With the total length of the
reservoir chassis 102
being 33 inches, some embodiments provide for the main section to be about 25
inches length (or
at least long enough to hold the bladder 200), and the extension section 101
to be about 8 inches
in length. In some embodiments, the extension section 101 is included so as to
provide for the
comfortable placement of the tourniquet onto larger sized extremities.
Further, some
embodiments provide for two sections of approximately 16 inches of hook and
loop to be
positioned on an interior and exterior surface of the reservoir chassis. In
particular, a first section
of hook and loop is positioned on the exterior surface of the reservoir
chassis 102 adjacent to an
end of the reservoir chassis 102 that is opposite the extension section 101.
In some embodiments,
more or less than 16 inches of hook and loop will be added to the reservoir
chassis 102. In
certain additional embodiments, the interior surface of the reservoir chassis
102 will have a
section of hook and loop thereon, with the section covering the extension
section 101 and
extending from the extension section 101 along a portion of the main section.
In such
embodiments, the main section of the reservoir chassis 102 can be wrapped
around an extremity
and can be secured in place by connecting the dual hook and loop on the outer
surface of the
main section with the dual hook and loop on the interior surface of the
extension section 101. As
such, the tourniquet can be initially positioned over and secured to an
extremity until the slider
107 can be connected to the receiver 106 and the retaining cover 103 tightened
and secured in a
preferred position. Once the retaining cover 103 is tightened and secured in a
preferred position,
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the bladder 200 can be pumped up and filled with air to create the intended
circumferential
pressure to stop hemorrhaging and blood loss.
In some embodiments, the pneumatic tourniquet includes the retaining cover 103
(See
FIGS. 1 and 5-7) which is sewn with nylon coated fabric and dual hook and
loop, as previously
described. In some embodiments, the retaining cover 103 is approximately 39
inches length. In
other embodiments, the retaining cover 103 may be more or less than 39 inches.
The retaining
cover 103 preferably overlaps the reservoir chassis 102 as a secondary
securing mechanism to
prevent any slippage and provides extra protection. The retaining cover 103
includes a time label
109 which is comprised of a clothing label and is inserted on an end of the
cover to write the
time when application of the tourniquet is made.
Additional embodiments of the present invention include a tourniquet (See
FIGS. 1 and
5-7) that is operable for restricting a flow of blood in a body part, such an
upper or a lower
extremity, with such a tourniquet comprising: (a) a bladder 200 (See FIGS. 2
and 8) placed into a
reservoir chassis 102, with the reservoir chassis 102 including a main section
that holds the
bladder 200 and an extension section 101 connected to said main section; (b) a
retaining cover
103 attached to the reservoir chassis 102 at a position adjacent to where the
main section of the
reservoir chassis 102 connects to the extension section 101; (c) a receiver
106 (See also FIG. 3)
joined with the retaining cover 103 or the reservoir chassis 102 adjacent to
the position where the
retaining cover 103 is attached to the reservoir chassis 102; and (c) a slider
107 (See also FIG. 4)
attached to the retaining cover 103 for quick application to the receiver 106.
In such
embodiments, when the tourniquet is placed onto the damaged circumference of
the extremity,
the slider 107 can be attached to the receiver 106 and then the retaining
cover 103 can be
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adjusted to a preferred position so as to create a circumferential pressure.
Furthermore, the
retaining cover 103 can be secured in such a position by folding an end of the
retaining cover
103 back on itself such that the dual hook and loop of the retaining cover 103
secures the
retaining cover 103 in place.
As illustrated in FIG. 3, the receiver 106 includes a hook-shaped catch 301
that the round
side bar 401 of the slider 107 (See FIG. 4) can be placed into or removed from
by the user on
demand through application of the receiver flange 302. A lip portion 303 of
the receiver is the
narrower portion of the receiver 106 and facilitates ease of placement for the
round side bar 401
of the slider 107, and the bar locks the hook slider into place.
With respect to FIG. 3, in some embodiments, the hook-shaped catch 301 (or
slider
niche) is sized and shaped to mate with and receive the slider 107 and lock
the slider 107
securely in place. The receiver flange 302 guides and provides an easy
placement for the slider
107 which locks the retaining cover 103 in place. The flange 302 slopes upward
to facility
placement. The lip 303 is a narrower part of the receiver 106 to provide an
easy placement with
the receiver flange 302 for the slider 107. A bar 304 hangs down from the lip
303. The bar 304
supports locking of the hook slide and prevents unintentional displacement
(dislodging) of the
slider 107 from the receiver 106. The bar 304 allows the slider 107 to "snap"
or audibly "click"
when the slider 107 and receiver 106 are properly mated. A supporter 306 is a
thicker portion of
the receiver 106 that structurally supports the receiver slot 305. The
receiver slot 305 is a space
for a receiver holder to connect the receiver 106 to the retaining cover 103
or reservoir chassis
102.
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With reference to FIG. 4, the slider 107 functions as a friction buckle that
is operable to
be placed anywhere on the retaining cover 103. The square side bar 402 of the
slider 107 with
protruding grippers 405 facilitates friction when the round side bar 501 is
placed into the receiver
106 (See FIG. 3). As such, the slider 107 reduces slippage, yet allows excess
slack to be removed
from the diameter of the circumferential tourniquet body upon demand from the
user with an
upward pulling motion of the retaining cover 103. Furthermore, the retaining
cover 103 can be
pre-routed through the slider 107, thus avoiding the necessity to route the
retaining cover 103
through the slider 107 during use.
With respect to FIG. 4, in some embodiments, the slider 107 includes a round
edge 401
(or round side bar). The round side bar 401 is sized and shaped to interface
with the receiver 106.
The round side bar 401 is sized and shaped to allow for articulation when
mated with the
receiver 106. The slider 107 further includes a frame 402 (or square side
bar). The square side
bar 402 gives support, structure and shape to the slider 107. In some
embodiments, the slider 107
will be a distinctive color to easily and quickly visually distinguish the
slider's position relative
to the retaining cover 103. For example, in some embodiments, the slider 107
is coyote brown. In
some embodiments, the slider 107 includes a slider friction bar 403. The
slider friction bar 403
provides friction and inhibits the release of tension when the tourniquet is
applied. The friction
bar 403 is positioned higher than the side bars 401 and 402. The friction bar
403 is sized and
shaped to lock the slider 107 in position when the tourniquet is applied. The
slider 107 further
includes slider gaps 404. The retaining cover 103 is routed through the slider
gaps 404 with dual
hook and loop fasteners on the retaining cover 103 side that faces toward the
slider friction bar
403. The square side bar 402 of the slider 107 also includes grippers 405. The
grippers 405
facilitate friction when the round slider bar 401 is placed into the receiver
106. This stops
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slippage, yet allows excess slack to be removed from the retaining cover 103
continuous loop
upon demand with an upward pulling motion of the retaining cover 103.
Together, the slider 107 (See FIG. 4) and the receiver 106 (See FIG. 3)
function as a
buckle, so as to create a continuous loop of the tourniquet. Adjustments can
be made, via the
slider 107, for shortening or lengthening the continuous loop once applied,
and/or the slider 107
can be attached or detached from the receiver 106 to facilitate ease of
application by the user.
In some embodiments, certain portions of the tourniquet, such as the reservoir
chassis
102 and the retaining cover 103 may be made from various types of elastic
and/or inelastic
flexible material, such as woven fabric, vinyl, leather, neoprene, nylon, etc.
Additionally, other
components of the tourniquet (e.g., receiver 106 and slider 107) may be made
from rigid or semi-
rigid materials, such as various types plastics, metals, or the like.
Furthermore, portions of the
bladder 200, including the bladder 200 itself or the nipple 104, tubing 202,
and pump 108, may
be made from various materials that are flexible but operable to securely hold
fluid therein, such
as neoprene, polyurethane, other plastic, or other similar material.
While the present general inventive concept has been shown in the drawings and
fully
described above with particularity and detail in connection with what is
presently deemed to be
the most practical and preferred embodiment(s) of the invention, it will be
apparent to those of
ordinary skill in the art that many modifications thereof may be made without
departing from the
principles and concepts set forth herein, including, but not limited to,
variations in size,
materials, shape, form, function and manner of operation, assembly and use.
17
4824-0996-2782.1
CA 02929226 2016-04-29
WO 2015/048668 PCT/US2014/058098
Docket No. 208111-3.3
It is also to be understood that the following claims are intended to cover
all of the
generic and specific features of the invention herein described, and all
statements of the scope of
the invention which, as a matter of language, might be said to fall
therebetween. Hence, the
proper scope of the present general inventive concept should be determined
only by the broadest
interpretation of the appended claims so as to encompass all such
modifications as well as all
relationships equivalent to those illustrated in the drawings and described in
the specification.
Finally, it will be appreciated that the purpose of the annexed Abstract is to
enable the
U.S. Patent and Trademark Office and the public generally, and especially the
scientists,
engineers and practitioners in the art who are not familiar with patent or
legal terms or
phraseology, to determine quickly from a cursory inspection the nature and
essence of the
technical disclosure of the application. Accordingly, the Abstract is neither
intended to define the
invention or the application, which only is measured by the claims, nor is it
intended to be
limiting as to the scope of the invention in any way.
18
4824-0996-2782.1
